facebook tracking Alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost in Washington: 7 hospitals compared (DRG 896)

Alcohol, drug abuse or dependence without rehabilitation therapy with major complications in Washington

What 7 hospitals in Washington charged and were paid for a Medicare hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896), from 2024 Medicare claims.

DRG 896 Inpatient 2024 Medicare data
Average charge $100,117 Hospital list price billed
Average payment $17,454 Medicare + patient + other payers
Medicare paid $14,122 Average per stay
State rank #12 of 20 1 = lowest average payment

Hospitals in Washington billed an average of $100,117 for alcohol, drug abuse or dependence without rehabilitation therapy with major complications, about 5.7 times the average total payment of $17,454. That payment is 5% below the U.S. average of $18,325.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $17,454Billed $100,117

About 17¢ was paid for every $1 hospitals in Washington billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Washington:

Washington hospitals: alcohol, drug abuse or dependence without rehabilitation therapy with major complications

Every Washington hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
S W Washington Medical CenterVancouver 19 $62,421 $14,987 $14,033
Providence Regional Medical Center EverettEverett 13 $48,072 $14,718 $12,913
St Michael Medical CenterBremerton 13 $192,654 $30,420 $17,699
Tacoma General HospitalTacoma 12 $52,748 $15,951 $14,734
Swedish Medical CenterSeattle 11 $171,977 $15,114 $11,766
St Joseph Medical CenterTacoma 11 $128,847 $17,225 $15,272
St Anthony HospitalGig Harbor 11 $68,457 $13,837 $12,017
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Lowest and highest payments in Washington

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

St Anthony HospitalGig Harbor, WA$13,837
Providence Regional Medical Center EverettEverett, WA$14,718
S W Washington Medical CenterVancouver, WA$14,987
Swedish Medical CenterSeattle, WA$15,114
Tacoma General HospitalTacoma, WA$15,951

Highest

St Michael Medical CenterBremerton, WA$30,420
St Joseph Medical CenterTacoma, WA$17,225
Tacoma General HospitalTacoma, WA$15,951
Swedish Medical CenterSeattle, WA$15,114
S W Washington Medical CenterVancouver, WA$14,987

Alcohol, drug abuse or dependence without rehabilitation therapy with major complications in other states

Questions

How much does alcohol, drug abuse or dependence without rehabilitation therapy with major complications cost in Washington?

In 2024 Medicare data, a hospital stay for alcohol, drug abuse or dependence without rehabilitation therapy with major complications (DRG 896) at 7 hospitals in Washington was billed at $100,117 on average, while the average total payment was $17,454, of which Medicare paid $14,122. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Washington, average charges were 5.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.